Organization
MIRIAM M. GOTTLIEB, PH.D., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MIRIAM M. GOTTLIEB PH.D. (PSYCHOLOGIST)
(602) 295-0664
Entity
Organization
Contact information
Practice address
12795 N 102ND ST, SCOTTSDALE, AZ 85260-4643
(602) 295-0664
Mailing address
12795 N 102ND ST, SCOTTSDALE, AZ 85260-4643
(602) 295-0664
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
979
AZ
Other
Enumeration date
01/18/2016
Last updated
01/18/2016
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